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South Carolina rates for HCPCS J2788

Injection, Rho D immune globulin, human, minidose, 50 mcg (250 IU)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $154.88 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $23.99 / $37.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $63.10 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $34.67 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $32.36 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $25.12